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Photo Essay
July 2007

Angiolymphoid Hyperplasia With Eosinophilia Affecting the Eyelids

Arch Ophthalmol. 2007;125(7):987. doi:10.1001/archopht.125.7.987

Angiolymphoid hyperplasia with eosinophilia is a benign lesion with lymphoid and vascular components that has been only rarely described to affect the eyelids (Figure 1). It was previously considered synonymous with Kimura disease but is now thought by many to be a separate clinical entity (Figure 2 and Figure 3).1 Here we present a case of a 51-year-old man with a 5-year history of tumors involving the left upper and lower eyelids, scalp, and neck. At the time of his first visit, he had obstructed vision, an inability to fully close the eyes leading to exposure keratitis, and social isolation secondary to his tumors of angiolymphoid hyperplasia with eosinophilia (Figure 4).

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